Effect of Nose Selection Using Rhnoscope on Epistaxis of Nasotracheal Intubation

Nasotracheal Intubation Clinical Trial

Official title:

The Effect of Suitable Nose Selection Using Rhinoscope on the Incidence and Severity of Epistaxis After Nasotracheal Intubation.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04164836
• Other study ID #: AJIRB-MED-OBS-19-201
• Status: Completed
• Phase: N/A
• Start date: November 26, 2019
• Est. completion date: March 30, 2022

Study information

• Verified date: July 2022
• Source: Ajou University School of Medicine
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Rhinoscope is useful to exam intranasal structure. This information could be utilized to select more suitable nose for nasotracheal intubation. Nastoracheal intubation using more patent nose could be associated with decrease of the development of epistaxis which is most common complication in nasotracheal intubation.

Description:

Anterior rhinoscopy using rhinoscope is a simple way to view the intranasal structure, which allows you to observe the nasal mucosa, the inferior nasal concha, and in some cases, the nasal concha. You can see the nasal septum, polyps, and intranasal malformations. In addition, even when there are no structural abnormalities in the nasal cavity, the wider nasal cavity can be intuitively identified. This information is expected to assist in the selection of nostrils. It has not yet been studied whether anesthesiologists select nasal cavity for nasotracheal intubation using prosthesis can affect the occurrence of epistaxis. The purpose of this study is to determine whether the selection of a nostril for nasotracheal intubation by rhinoscope affects the incidence and severity of epistaxis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 182
• Est. completion date: March 30, 2022
• Est. primary completion date: March 30, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 19 Years to 70 Years

Eligibility

Inclusion Criteria:

• ASA I or II undergoing surgery under nasotracheal intubation

Exclusion Criteria:

• expected difficult intubation based on history, physical examination, weight.
• bleeding tendency
• past history of nasal surgery
• symptom of difficulty of nasal respiration

Related Conditions & MeSH terms

• Epistaxis
• Nasotracheal Intubation

Intervention

Diagnostic Test:
• rhinoscope
more suitable nose for nasotracheal intubation will be selected based on the view of rhinoscope.

Locations

Country	Name	City	State
Korea, Republic of	Ajou universitiy school of medicine	Suwon-si	Gyeong-gi Do

Sponsors (1)

Lead Sponsor	Collaborator
Ajou University School of Medicine

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	incidence of epistaxis	percentage of the development of epistaxis after nasotracheal intubation	immediate after intubation
Primary	incidence of epistaxis	percentage of the development of epistaxis after nasotracheal intubation	5 min after intubation
Secondary	severity of epistaxis4. severe: interfere intubation by blood	score based on severity of epistaxis will be recorded.; 1: no epistaxis, 2: mild; blood on tube 3. moderate: blood pooling on pharynx	immediate after intubation
Secondary	severity of epistaxis	score based on severity of epistaxis will be recorded.; 1: no epistaxis, 2: mild; blood on tube 3. moderate: blood pooling on pharynx	5 min after intubation